Individual
MS. KAREN JEAN LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
517 W 100 N STE 202, PROVIDENCE, UT 84332-9824
(385) 264-3897
(385) 264-4088
Mailing address
519 E 1180 S, PROVIDENCE, UT 84332-5402
(385) 264-3897
(385) 264-4088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
352694-3501
UT
1041C0700X
Clinical Social Worker
Primary
352694-3501
UT
Other
Enumeration date
09/26/2006
Last updated
02/21/2025
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